Individual
DAVID WILLIAM MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
48 MAIN ST, WINDSOR LOCKS, CT 06096-2326
(860) 627-5230
(860) 627-9283
Mailing address
48 MAIN ST, WINDSOR LOCKS, CT 06096-2326
(860) 627-5230
(860) 627-9283
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1093
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004136439
—
CT
01
—
350001218
MEDICARE PTAN
CT
Enumeration date
09/03/2006
Last updated
09/27/2021
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